What Type of Payment?
Select your VouchersCheck only 2 boxes below.
Credit Card
Cashier's Check
Personal Check
Money Order
1. AIR AFFAIRE
What Type of Package are you Purchasing?
Business Package
Individual Package
2. HOME SECURITY SYSTEM
Name:
3. DISH NETWORK SATELLITE DISH
4. $2000.00 SHOPPING SPREE
5. $4000.00 SHOPPING SPREE
6. SKI & SNOWBOARD RESORT DIRECTORY
Phone #:
Bus. Phone #:
7. HOTEL DIRECTORY
Fax #:
8. GOLF DIRECTORY
E-mail:
9. RECREATION DIRECTORY
10. $2000.00 TRAVEL COUPON BOOK
11. "YOUR FAVORITE NAME BRAND" GROCERY COUPONS
Select your Free Gift
1. FREE Tennis Bracelet
4. FREE Yorkcraft™ Workshop
12. Gucci DIAMOND WATCHES
2. FREE Pair of Diamond Earrings
5. FREE Royal Crest "Camper" Knife
13. "AS SEEN ON TV" CATALOG
3. FREE 10pc. Ginsu Cutlery Set
6. FREE 100 Rolls of Kodak Film
14. CHILDREN'S VIDEOS